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推进真实世界研究的透明化
引用本文:金鑫瑶,郑文科,张俊华,孙鑫,姚晨,詹思延,谢雁鸣,刘建平,胡镜清,何丽云,田金徽,杜亮,孙凤,张磊,唐健元,高蕊,王忠,杨忠奇,胡思源,元唯安,王保和,黄宇虹,陆芳,邹冲,申春悌,刘保延,李幼平,张伯礼.推进真实世界研究的透明化[J].世界中医药,2019(12).
作者姓名:金鑫瑶  郑文科  张俊华  孙鑫  姚晨  詹思延  谢雁鸣  刘建平  胡镜清  何丽云  田金徽  杜亮  孙凤  张磊  唐健元  高蕊  王忠  杨忠奇  胡思源  元唯安  王保和  黄宇虹  陆芳  邹冲  申春悌  刘保延  李幼平  张伯礼
作者单位:1 天津中医药大学循证医学中心,天津,301617; 2 四川大学华西医院中国循证医学中心,成都,610041; 3 北京大学第一医院,北京,100034; 4 北京大学循证医学中心,北京,100191; 5 中国中医科学院中医临床基础医学研究所,北京,100700; 6 北京中医药大学循证医学中心,北京,100029; 7 中国中医科学院中医基础理论研究所,北京,100700; 8 兰州大学循证医学中心,兰州,730000; 9 上海中医药大学,上海,201203; 10 成都中医药大学附属医院,成都,610075; 11 中国中医科学院西苑医院,北京,100091; 12 广州中医药大学第一附属医院,广州,510405; 13 天津中医药大学第一附属医院,天津,300201; 14 上海中医药大学附属曙光医院,上海,201203; 15 天津中医药大学第二附属医院,天津,300150; 16 南京中医药大学第一附属医院,南京,210029; 17 世界中医药学联合会临床研究数据监查委员会,北京,100700; 18 中国中医科学院中医药数据中心,北京,100700
基金项目:国家自然科学基金项目(81473544);天津市人才发展特殊支持计划——青年拔尖人才项目(201504);天津市高等学校“创新团队培养计划”(TD13-5047)
摘    要:真实世界研究近几年在临床需求及相关政策的引导下快速发展,成为医药行业广泛关注的焦点。目前,对真实世界研究的证据强度、偏倚控制及研究价值等关键内容还缺乏深入的探讨。临床研究透明化是实现研究规范性、结果真实性和结论可靠性的重要保障。本文介绍提高真实世界研究透明化的必要性,从真实世界研究方案预注册、统计分析计划的发布、数据清洗方案的制定、结果报告规范和数据共享等方面阐述促进真实世界研究透明化的措施,以期更好控制混杂和偏倚,产出可用于临床相关决策的高质量证据,减少研究浪费。

关 键 词:真实世界研究  现实世界研究  真实世界数据  真实世界证据  临床试验  透明化  循证医学  临床试验注册  数据共享  报告规范
收稿时间:2019/11/10 0:00:00

Promote Transparency in Real-World Study
Jin Xinyao,Zheng Wenke,Zhang Junhu,Sun Xin,Yao Chen,Zhan Siyan,Xie Yanming,Liu Jianping,Hu Jingqing,He Liyun,Tian Jinhui,Du Liang,Sun Feng,Zhang Lei,Tang Jianyuan,Gao Rui,Wang Zhong,Yang Zhongqi,Hu Siyuan,Yuan Weian,Wang Baohe,Huang Yuhong,Lu Fang,Zou Chong,Shen Chunti,Liu Baoyan,Li Youping,Zhang Boli.Promote Transparency in Real-World Study[J].World Chinese Medicine,2019(12).
Authors:Jin Xinyao  Zheng Wenke  Zhang Junhu  Sun Xin  Yao Chen  Zhan Siyan  Xie Yanming  Liu Jianping  Hu Jingqing  He Liyun  Tian Jinhui  Du Liang  Sun Feng  Zhang Lei  Tang Jianyuan  Gao Rui  Wang Zhong  Yang Zhongqi  Hu Siyuan  Yuan Weian  Wang Baohe  Huang Yuhong  Lu Fang  Zou Chong  Shen Chunti  Liu Baoyan  Li Youping  Zhang Boli
Institution:1 Evidence-Based Medicine Centre, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China; 2 Chinese Evidence-based Medicine Center, West China Hospital of Sichuan University, Chengdu 610041, China; 3 Peking University First Hospital, Beijing 100034, China; 4 Evidence-Based Medicine Centre, Peking University, Beijing 100191, China; 5 Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China; 6 Evidence-based Medicine Center, Beijing University of Chinese Medicine, Beijing 100029, China; 7 Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medicine Science, Beijing 100700, China; 8 Evidence-Based Medicine Center, Lanzhou University, Lanzhou 730000, China; 9 Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 10 Affiliated Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China; 11 Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China; 12 The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; 13 First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300201, China; 14 Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 15 The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China; 16 The First Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China; 17 Clinical Research Data Monitoring Committee of World Federation of Chinese Medicine Societies, Beijing 100700, China; 18 Chinese Medicine Data Center of China Academy of Chinese Medical Sciences, Beijing 100700, China
Abstract:Real-world study(RWS)has been developing fast in recent years under the guidance of clinical requirement and relevant policies, and has become a hot topic in the field of medical research.At present, the key contents of RWS, such as evidence level, bias control and value etc., are still lack of in-depth discussion.The transparency of clinical research is an important guarantee for the standardization of research, the authenticity of results and the reliability of conclusions.This paper introduced the necessity of improving the transparency of RWS, and expounded the measures to promote the transparency of RWS from the aspects of protocol registration, statistical analysis plan publishing, data cleaning scheme formulation, result report specification and data sharing etc., so as to better control the confusion and bias, produce high-quality evidence that can be used for clinical decision-making, and reduce research waste.
Keywords:Real-world study  Reality world study  Real-world data  Real-world evidence  Clinical trial  Transparency  Evidence-based medicine  Clinical trial registration  Data sharing  Report standards
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